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Provider Information for 1376738385



DR. JUAN C VALENCIA DMD

Gender: MALE

Individual NPI: 1376738385

Calendar Last Updated: 2013-09-30

Details

Name Value
NPI 1376738385
Enumeration Date 2007-09-12
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 7780 E. SPEEDWAY BLVD.
TUCSON, AZ 85710-1606
United States

Phone: 520-979-3880 | Fax:
View Map External Link
Primary Practice Address 7780 E. SPEEDWAY BLVD.
TUCSON, AZ 85710-1606
United States

Phone: 520-979-3880 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice AZ D7312